Cardiovascular Imaging-Division of Cardiology, University of Chicago Medical Center, 5841 South Maryland Avenue, M528, Chicago, IL 60637, USA.
Curr Cardiol Rep. 2010 May;12(3):272-6. doi: 10.1007/s11886-010-0108-7.
Cardiac involvement in amyloidosis has poor prognosis and its diagnosis is challenging because of its patchy, infiltrative nature. Echocardiography plays an important role in the diagnosis, management, and prognosis in this disease process. In this article, we briefly review the utility and problems associated with traditional echocardiographic techniques and discuss the role for new echocardiographic imaging modalities such as tissue Doppler, Doppler-based strain, speckle tracking imaging, and three-dimensional imaging in the assessment of cardiac amyloid.
心脏淀粉样变的预后较差,由于其呈斑片状、浸润性,故诊断具有挑战性。超声心动图在该疾病过程的诊断、管理和预后中发挥着重要作用。本文简要回顾了传统超声心动图技术的应用和相关问题,并讨论了组织多普勒、基于多普勒的应变、斑点追踪成像和三维成像等新的超声心动图成像方式在心脏淀粉样变评估中的作用。